Guest guest Posted January 29, 2002 Report Share Posted January 29, 2002 Hi Carol, I'll send your question to Sara CCC/SLP to 2 advisors for CHERAB that I believe will have the answers, CHERAB had a different oral motor advisor before who put the two types of oral motor problems together -and I believe this created confusion. I spoke to Sara CCC SLP http://www.oromotorsp.com about a similar question -she is the one who teaches others how to do Oral Motor therapy and I know she'll have the answer. Only thing is that she's away this week -then she's leaving for Italy to teach every SLP in Italy Oral Motor therapy. I'm sure she'll answer though at some point. I'll also send your question to Dr. Judy Flax who is the Research Coordinator of the Tallal Lab and a Senior Research Speech Pathologist for the Infancy Studies Laboratory at the Center for Molecular and Behavioral Neuroscience (CMBN) of Rutgers University, Newark, NJ. who was just on the Not Just A Late Talker TV show with us. (and no we didn't forget about the copies of the show and the T shirts!) There are some brilliant people that are on this list too that may have the answer to your question quicker! ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2002 Report Share Posted January 29, 2002 Hi my daughter is 5 and a half years old.She has verbal apraxia. As of this moment she can barely say a few words but she seems to have no problem with coughing chewing or swallowing.This is my daughter not sure if other kids are different.Brent [ ] Oral apraxia or dysphagia I am a graduate student in Speech Language Pathology at East Carolina University Distant Education program and have a question. I am doing a research paper on dysphagia and my question is: Can oral apraxia affect the swallow? All the information I have found says that oral apraxia does not affect the non-speech activities performed with the muscles such as coughing, chewing or swallowing. Can you enlighten me on this topic. I would appreciate any information you have. Thank you, Carole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2002 Report Share Posted January 30, 2002 Yes there is a relationship to the oral phase of dysphagia, where the child has to masticate and move the bolus of food to the oropharynx. If he doesn't have the tongue mobility, chew efficiently etc he may have difficulty propeling the bolus back. You may be more interested in the oropharyngeal and esophageal phase where there is no direct correlation in apraxia but there is for dysarthria. Any child with paralysis or weakness of the soft palate or does not have a gag reflex can potentially aspirate food or liquid. ( food or drink goes into the lungs instead of the esophagus). MA > I am a graduate student in Speech Language Pathology at East Carolina > University Distant Education program and have a question. I am doing > a research paper on dysphagia and my question is: Can oral apraxia > affect the swallow? All the information I have found says that oral > apraxia does not affect the non-speech activities performed with the > muscles such as coughing, chewing or swallowing. Can you enlighten > me on this topic. > I would appreciate any information you have. > > Thank you, > Carole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2002 Report Share Posted January 30, 2002 Thank you for the information. [ ] Re: Oral apraxia or dysphagia Yes there is a relationship to the oral phase of dysphagia, where the child has to masticate and move the bolus of food to the oropharynx. If he doesn't have the tongue mobility, chew efficiently etc he may have difficulty propeling the bolus back. You may be more interested in the oropharyngeal and esophageal phase where there is no direct correlation in apraxia but there is for dysarthria. Any child with paralysis or weakness of the soft palate or does not have a gag reflex can potentially aspirate food or liquid. ( food or drink goes into the lungs instead of the esophagus). MA > I am a graduate student in Speech Language Pathology at East Carolina > University Distant Education program and have a question. I am doing > a research paper on dysphagia and my question is: Can oral apraxia > affect the swallow? All the information I have found says that oral > apraxia does not affect the non-speech activities performed with the > muscles such as coughing, chewing or swallowing. Can you enlighten > me on this topic. > I would appreciate any information you have. > > Thank you, > Carole Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2002 Report Share Posted February 1, 2002 Our daughter, now aged 18 years and severe dyspraxia ( Australian term for apraxia) had great difficulty in chewing. When she wwent onto solids at 9 months of age, she could not handle solids. She had no diagnosis of Dyspraxia. At 15 months she was on 6 and a quarter kilos in weight and in the second stage of malnutrition. Many years later, those who knew about dyspraxia said clearly her failure to thrive was attributable to her dyspraxia. She had to actually learn to eat as the signals were not coming through to her mouth and so she could not chew. Hope this helps. Graeme Rouillon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 7, 2002 Report Share Posted February 7, 2002 Carol, asked me to comment on your question. My name is Sara Rosenfeld- and I am a speech pathologist who specializes in oral- motor/feeding/speech therapy. You ask a complex question. First, it is important to understand the difference between oral apraxia and verbal apraxia. By definition verbal apraxia only effects the volitional movements or motor control for speech sound production. Oral apraxia can effect volitional movements or motor control, motor planning for 1)speech, 2) non- speech exercises (i.e., bubble blowing, horn blowing) and 3) volitional movements for feeding (straw drinking, timing for a swallow, etc.) There is also a difference between apraxia and dyspraxia. Apraxia is the inability to perform these volitional movements and dyspraxia is the reduced ability. In my practice I have worked with children who have the diagnosis if oral apraxia who definitely have difficulty sequencing the volitional movements for swallowing or the oral phase of swallowing (i.e., lip closure, retraction of the bolus back along the tongue to position it to trigger the non-volitional movement of the swallow). In addition, I asked Lori Overland to comment on you question and here is her answer: " Sara, I know that girls with Rhetts Syndrome have motor planning issues which impact the oral phase of feeding and frequently the swallow. It is documented in the literature on Rhett's Syndrome, but I don't have references. A number of years ago, I evaluated a little girl with Rhetts. As I commented on her motor planning issues, her mother said it is documented that girls with Rhetts learn to eat again at every meal. I have definitely worked with other children who have motor planning issues which impact feeding.....Lori I hope that this helps with your research. You may also want to look at our website: http://www.talktoolstm.com Sara Rosenfeld- > I am a graduate student in Speech Language Pathology at East Carolina > University Distant Education program and have a question. I am doing > a research paper on dysphagia and my question is: Can oral apraxia > affect the swallow? All the information I have found says that oral > apraxia does not affect the non-speech activities performed with the > muscles such as coughing, chewing or swallowing. Can you enlighten > me on this topic. > I would appreciate any information you have. > > Thank you, > Carole Quote Link to comment Share on other sites More sharing options...
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